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Medicine Miscellaneous ec124fc6

The drug of choice in Status epilepticus is

A
Intravenous diazepam
B
Oral Dilantin
C
Carbamazepine
D
Ethosuximide
High-Yield Explanation
(A) # Status epilepticus is a medical emergency.> Initial management includes maintenance of the airway and 50% dextrose (25-50 mL) intravenously in case hypoglycemia is responsible. If seizures continue, 10mg of Diazepam is given intravenously over the course of 2 minutes, and the dose is repeated after 10 minutes if necessary.> Alternatively, a 4 mg intravenous bolus of lorazepam, repeated once after 10 minutes if necessary, is given in place of diazepam.> This is usually effective in halting seizures for a brief period but occasionally causes respiratory depression.

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